Bascom Pharmacy Llc

LBN: Bascom Pharmacy Llc
Bascom Pharmacy Llc is an health care organization with primary practice located at 105 N Bascom Ave Ste 101 , San Jose CA 95128-1811. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Bascom Pharmacy Llc can be contacted via phone (408) 995-6020, or through Fuller, Clive via phone (510) 691-3371.

Contact Information

Primary practice address
105 N Bascom Ave Ste 101 San Jose CA 95128-1811
Phone: (408) 995-6020
Fax: (408) 995-5320
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Clive PHARMD
Phone: (510) 691-3371

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1205719978
LBN Legal business name Bascom Pharmacy Llc
DBA Doing business as
Authorized official Fuller, Clive PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2025
Last updated Jul 29th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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